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4FN-21391-08395

3 vaccinations 7 coded responses 19 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
837 / ID
Registered
2020-12-29
Relationship
Self

Timeline

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-29
    Survey response — day 0, dose 1
    MedDRA: Feeling cold, Feeling hot, Feeling jittery, Immediate post-injection reaction, Medical observation — Feeling: Fair · Site: Pain · Headache, Joint pains, Nausea
    Free text: A little after vaccine during observation had a warm cooling sensation to upper body that has mostly subsided and mild jittery feeling (no outward shakiness) that resolved.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Nausea
    Adult check-in
  5. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-19
    Dose 2 — Pfizer-BioNTech
  13. 2021-01-19
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Nausea · Be unable to work
    Adult check-in
  14. 2021-01-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-01-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Joint pains
    Adult check-in
  16. 2021-01-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Office visit, Petechiae — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Few new petechiae like spots but evaluated by Dr. and labs done and no platelet issues found. Will monitor.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: Nothing new
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-01-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: Nothing new
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-01-26
    Survey response — day 7, dose 2
    MedDRA: Adverse reaction — Feeling: Good
    Free text: None new
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-17
    Survey response — day 28, dose 2
    MedDRA: Pain, Petechiae — Feeling: Good
    Free text: Generalized achiness that started after the vaccines has increased some. The scant amount of petechiae in a few different areas that started a couple days after the 2nd vaccine continues but is not any worse.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-01
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Fatigue, Myalgia, Petechiae — Feeling: Fair
    Free text: I feel like muscle/joint aching that started after vaccines has been progressively increasing. Also have a few more spots of petechiae. Fatigue has progressively worsened slightly in the past couple months.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-09-29
    Dose 3 — Pfizer-BioNTech

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Pfizer-BioNTech
22021-01-19Pfizer-BioNTech
32021-09-29Pfizer-BioNTech No

Free text

Release 1 — day 0, dose 1

2020-12-29

Systemic reaction (other): A little after vaccine during observation had a warm cooling sensation to upper body that has mostly subsided and mild jittery feeling (no outward shakiness) that resolved.

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): Few new petechiae like spots but evaluated by Dr. and labs done and no platelet issues found. Will monitor.

2021-01-24

Systemic reaction (other): Nothing new

2021-01-25

Systemic reaction (other): Nothing new

Release 2 — day 7, dose 2

2021-01-26

Systemic reaction (other): None new

Release 4 — day 28, dose 2

2021-02-17

Symptoms: Generalized achiness that started after the vaccines has increased some. The scant amount of petechiae in a few different areas that started a couple days after the 2nd vaccine continues but is not any worse.

Release 4 — day 35, dose 2

2021-03-01

Symptoms: I feel like muscle/joint aching that started after vaccines has been progressively increasing. Also have a few more spots of petechiae. Fatigue has progressively worsened slightly in the past couple months.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPetechiae ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROFeeling jittery ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROMedical observation ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROOffice visit ✓ · ✓
SROPetechiae ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release